SynthesisInternational journal of colorectal disease2016
Meta-analysis of the laparoscopic versus open colorectal surgery within fast track surgery.
Synthesis in International journal of colorectal disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- [Enhanced recovery after surgery-Does the ERAS concept keep its promises].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Pooled it
- Application of enhanced recovery after gastric cancer surgery: An updated meta-analysis.World journal of gastroenterology · 2018Pooled it
- [Application Effect of Fast Track Surgery for Patients with Lung Cancer: A Meta-analysis].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2016Pooled it
- Development and validation of a predictive model for anastomotic complications with mid-low rectal cancer based on propensity score matching analysis-Does robotic surgery have an advantage?Journal of robotic surgery · 2025Article
- Challenges and opportunities in enhanced recovery after surgery programs: An overview.Indian journal of anaesthesia · 2024Review
- Propensity matched analysis of minimally invasive and open radical resection for rectal cancer: comparison of short-term outcomes in elderly/frail patients.Journal of robotic surgery · 2024Article
- A machine learning model to predict the need for conversion of operative approach in patients undergoing colectomy for neoplasm.Cancer reports (Hoboken, N.J.) · 2024Article
- Trends and consequences of surgical conversion in the United States.Surgical endoscopy · 2022Article
- Preoperative Immunonutrition vs. Standard Dietary Advice in Normo-Nourished Patients Undergoing Fast-Track Laparoscopic Colorectal Surgery.Journal of clinical medicine · 2021Article
- Metabolic Syndrome, as Defined Based on Parameters Including Visceral Fat Area, Predicts Complications After Surgery for Rectal Cancer.Obesity surgery · 2020Article
- Application of fast-track surgery in the perioperative period of laparoscopic partial nephrectomy for renal tumors.The Journal of international medical research · 2019Observational
- Time from colorectal cancer diagnosis to laparoscopic curative surgery-is there a safe window for prehabilitation?International journal of colorectal disease · 2018Article
- Impact of Visceral Obesity and Sarcopenia on Short-Term Outcomes After Colorectal Cancer Surgery.Digestive diseases and sciences · 2018Article
- Can the combination of laparoscopy and enhanced recovery improve long-term survival after elective colorectal cancer surgery?International journal of colorectal disease · 2018Observational
- Surgical Technical Evidence Review for Colorectal Surgery Conducted for the AHRQ Safety Program for Improving Surgical Care and Recovery.Journal of the American College of Surgeons · 2017Review
- Future Perspectives of ERAS: A Narrative Review on the New Applications of an Established Approach.Surgery research and practice · 2016Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic methods and fast-track surgery (FTS) can enhance recovery and reduce postoperative hospital stay. However, whether laparoscopic surgery can provide short-term benefits within FTS is controversial. Thus, we conducted a meta-analysis of published studies to evaluate the effect of laparoscopic colorectal surgery within FTS.
methodsWe searched PubMed, EMBASE, Cochrane Library, and Ovid databases for eligible studies. Endpoints were duration of postoperative hospital stay, time to first bowel movement, total postoperative complication rate, readmission rate, mortality within 30 days after surgery, and conversation rate of laparoscopic surgery.
resultsFour randomized controlled trials and six clinical controlled trials (1510 patients) were eligible for analyses. Duration of postoperative hospital stay (weighted mean difference, -1.65 days; p < 0.001), time to first bowel movement (-1.13 days; p < 0.001), total postoperative complication rate (risk ratio [RR], 0.65; p < 0.001), readmission rate (0.46; p < 0.001), and mortality (0.45; p < 0.001) were significantly reduced in the laparoscopic surgery group. Overall conversion rate of laparoscopic surgery was 11.1%. Subgroup analyses based on each FT element demonstrated that studies without the element "prevention of hypothermia," "no bowel preparation," or "no routine use of drains" did not show significant differences between two groups with regard to duration of postoperative hospital stay or total prevalence of postoperative complications.
conclusionWithin FTS, laparoscopic methods can significantly shorten postoperative hospital stay, accelerate postoperative recovery, and enhance safety in colorectal surgery. The FT elements "prevention of hypothermia," "no bowel preparation," and "no routine use of drains" may play important parts in the combined effect of these two methods.
Indexed as
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.